I thought about this for a hot minute but I felt by moonlight wasn't the right time for my first go at an intra thecal catheter so I did a different level!

Another time perhaps and with the daylight hours 😇

It's really tricky as I feel the trough cortisol levels in both the epiduralist and epiduralee results in both increased complications and increased requests for neuraxial analgesia

Of course but holy moly the flow!!

Still have mine, it lives in my car as a backup of all my music from the pre-spotify era!

I feel it's from a time when things were built to last a bit longer

Yeah I've thought about this a lot but rarely seen it be an issue outside of people with very severe bronchospasm on ICU where their time constant of expiration is prooooolooonged!

That's unusual, were they talking about IPPV or using something like APRV mode?

Most definitely, I like the flow waveforms for this so I know that with each breath it goes back to the baseline.

Aiming for the top picture and to avoid the bottom!

When I was a student I got to see ECT.

The machine they used to deliver it was called the "thymotron 4000"

This got me with 240V straight to the humour cortex.

Not up to standard but the plastic pirate ship takes the biscuit

I don't necessarily think this is a bad thing the devil is in the detail.

Before treating a problem having an assessment of its scale and distribution can be helpful. I think the use of the words 'league table' are problematic from this perspective.

Also depends on what metrics are used